| NPI | 1811687536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ R4020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 0NA) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |